Healthcare Provider Details

I. General information

NPI: 1649825043
Provider Name (Legal Business Name): ANNA E BURNS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA LOVELACE LMSW

II. Dates (important events)

Enumeration Date: 08/03/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 GARLAND ST STE J
TRAVERSE CITY MI
49684-2372
US

IV. Provider business mailing address

PO BOX 5317
TRAVERSE CITY MI
49696-5317
US

V. Phone/Fax

Practice location:
  • Phone: 231-685-7198
  • Fax: 231-216-7649
Mailing address:
  • Phone: 231-685-7198
  • Fax: 231-216-7649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801111171
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: